A Data Management Platform collected cookie IDs and third-party segments to build advertising audiences from. You placed a pixel, the platform recognised visitors through a third-party cookie, and you bought in segments other companies had assembled.
What came out was an anonymous audience you pushed to a DSP or an ad platform: "men, likely in market for a car", or "visitors who browsed travel sites". Names and email addresses usually stayed out of it, because the whole thing ran on cookie IDs.
That model held as long as one cookie could follow a visitor across different websites. That is exactly the part that disappeared.